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Authors Posts by Melissa Dehoff

Melissa Dehoff

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Melissa Dehoff is responsible for all medical rehabilitation and brain injury service issues. Ms. Dehoff attends multiple state-level meetings to advocate on behalf of members on brain injury and rehabilitation issues and is a member of the Department of Health Traumatic Brain Injury Advisory Board.

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The American Association of Retired Persons (AARP) Public Policy Institute has released a series of new research insights that highlights American adults’ views on a variety of issue areas. One of the recent releases focuses on brain health and includes the following resource topics:

  • Healthy Eating
  • Dementia
  • Hearing and Brain Health
  • Traumatic Brain Injury
  • Music and Brain Health
  • Mental Health, Emotional Well-Being, and Resiliency
  • Delirium

Visit here to read more about each of these resource topics.

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The Office of Developmental Programs (ODP) has shared the Medication Administration face-to-face schedule for April–June 2026 in ODPANN 26-035. New Trainer classes are for first-time trainers who are designated as “New Trainer” and start at 8:30 am.

Recertifying Trainer Classes are available in the morning and in the afternoon according to the schedule. Morning classes are designated as AM Recertification classes and will start at 8:30 am. Afternoon classes are designated as PM Recertification classes and will start at 1:00 pm.

You may register for one of these sessions after completing the course materials in the Train-the-Trainer course on MyODP’s Medication Administration website.

Please review the announcement for class schedule and additional details.

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The Centers for Medicare and Medicaid Services (CMS) has released the final rule that implements requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the Patient Protection and Affordable Care Act (ACA), as amended by the Health Care and Education Reconciliation Act of 2010, enacted on March 30, 2010.

Specifically, this final rule adopts standards for health care claims attachments transactions, which will support health care claims transactions and a standard for electronic signatures to be used in conjunction with health care claims attachments transactions.

The final rule will slash wasteful spending and antiquated paperwork by swapping out faxing and mailing for streamlined electronic transactions. This action lets providers spend less time on administrative hassle and more time caring for patients and is projected to save the healthcare industry approximately $781 million on an annual basis.

The final rule will be published in tomorrow’s (March 24, 2026) Federal Register and will become effective on May 19, 2026. Covered entities must comply by May 19, 2028.

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Novitas Solutions, the Medicare Administrative Contractor (MAC) for Pennsylvania, has announced the introduction of a new and improved Medicare Navigator program for providers.

The program includes webinars focused on supporting providers so they can successfully navigate Medicare program requirements and submit complete, accurate transactions. March’s Medicare Navigator Program also spotlights the Foundations of Compliance:

  • March 24, Foundations of Compliance: Locating and Utilizing Local Coverage Determinations (LCDs)
  • March 26, Foundations of Compliance: Purposeful Documentation

Members are encouraged to review Novitas’s event calendar for the full listing of events and opportunities to register.

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The National Association of State Head Injury Administrators (NASHIA) will be offering a free webinar that will focus on Brain Injury Resource Facilitation (BIRF) and the new Moody Implementation Guide. This free webinar will be conducted on May 6, 2026, from 1:00 pm – 2:00 pm.

Brain Injury Resource Facilitation is a structured intervention that connects individuals with brain injury to essential resources to enhance independence and improve outcomes, using a flexible, person-centered approach. It involves needs assessment, resource navigation/service connection, and progress monitoring to identify a person’s strengths and challenges to set goals and coordinate supports. BIRF is an effective intervention for academic, employment, and community success.

This webinar will include a discussion of BIRF and the new Resource Facilitation Implementation Guide, geared towards addressing these challenges and providing a map to follow for best practice in this area. Funded by the Moody Endowment and created collaboratively through NASHIA, this guide will be a current and future tool for consistent service delivery and data collection/utilization for rationale to sustain these supports.

To participate in this webinar, registration is required.

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On February 28, 2026, the Department of Human Services (DHS) Office of Long-Term Living (OLTL) published a notice in the Pennsylvania Bulletin announcing a change in the fee schedule rates in the OBRA Waiver and the Act 150 Program for Participant-Directed Personal Assistance Services (PAS) procedure codes W1792 and W1792 TU. This fee schedule rate change is effective January 1, 2026. A revised fee schedule is available here.

Written comments regarding these fee schedule rates can be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be submitted via email. Comments received within the 30-day comment period will be considered in subsequent revisions to the fee schedule.

OLTL previously issued a listserv on December 19, 2025, confirming the Fiscal Year 2025/26 budget, signed into law on November 12, 2025, which included a $21 million investment to strengthen the workforce through increased wages for direct care workers (DCW) providing services in the Participant-Directed model for OLTL Fee-for-Service programs.

To support the January 1, 2026, effective date, OLTL updated the PROMISe™ system and the Home and Community Services Information System (HCSIS) with the revised rates. Service Coordinators (SC) did not need to make any service plan updates for the rate change, as a HCSIS system-wide update was implemented to make the necessary service data rate updates to the affected service plans.

SCs are encouraged to reach out to OBRA Waiver and Act 150 Program participants that utilize Participant-Directed PAS to ensure they are aware of the rate change and that their DCWs may receive increases in their pay rates.

SCs may also receive specific questions from OBRA Waiver and Act 150 Program participants that utilize Participant-Directed PAS supported by Financial Management Services (FMS) through the FMS vendor Public Partnerships, LLC (PPL). SCs should refer participants to the PPL Customer Service hotline at 877-908-1750 for specific questions about how the rate increase in the OBRA Waiver and Act 150 Program will impact the pay of their DCWs.

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From RCPA member Beechwood NeuroRehab:

March is Brain Injury Awareness Month, a time to raise awareness, share knowledge, and support those affected by brain injuries. In recognition of this important month, we invite you to join the Beechwood clinical team for a special Zoom presentation, “Bridging the Gap to Independence.”

Wednesday, March 25, 2026

4:00 pm – 5:30 pm

Brain injuries affect millions of individuals and families each year. These injuries can be caused by falls, motor vehicle accidents, sports impacts, medical conditions, or other traumatic events. While some effects are visible, many survivors live with invisible challenges such as cognitive changes, fatigue, memory issues, and emotional impacts. In this presentation, the clinical team will share how Beechwood can help participants navigate around many of the challenges associated with having sustained an acquired brain injury, discuss their specialties, and talk about how they help participants become as independent as possible.

Join the Zoom Presentation

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The Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2026 KX modifier threshold amounts for therapy services.

The CY 2026 KX modifier threshold amount is $2,480 for:

  • Physical therapy and speech-language pathology services combined; and
  • Occupational therapy services.

Additional information on this topic is provided below:

Therapy Services web page, including CY 2026:

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